WEBVTT - The Hidden Hormone Trigger Behind Your Migraines

0:00:08.234 --> 0:00:10.914
<v Speaker 1>You're listening to I'm Mother and mea podcast.

0:00:18.553 --> 0:00:21.834
<v Speaker 2>Hello, and welcome to the brand new era of well

0:00:21.914 --> 0:00:25.474
<v Speaker 2>the podcast for your Health and Body Explained. I'm doctor

0:00:25.554 --> 0:00:28.234
<v Speaker 2>Jinny Mansberg. I'm a GENP and a women's health expert,

0:00:28.634 --> 0:00:31.594
<v Speaker 2>and basically, I'm here to talk about the annoying, the

0:00:31.674 --> 0:00:34.674
<v Speaker 2>embarrassing and the scary when it comes to women's.

0:00:34.354 --> 0:00:37.193
<v Speaker 1>Health, because chances are I've heard it, I've.

0:00:36.994 --> 0:00:40.314
<v Speaker 2>Seen it, i've smelted, i've touched it, and I've definitely.

0:00:39.913 --> 0:00:43.153
<v Speaker 1>Traded it all before. And I'm Cas Mahoney, a comedian

0:00:43.193 --> 0:00:45.593
<v Speaker 1>and an author. I always have crystals in my bra

0:00:45.674 --> 0:00:47.473
<v Speaker 1>and I like to bring the woo woo because I

0:00:47.513 --> 0:00:51.274
<v Speaker 1>love shocking Dr Ginny with the things I've bought online,

0:00:51.273 --> 0:00:54.394
<v Speaker 1>the wellness supplements and the occasional psychic reading.

0:00:54.554 --> 0:00:56.434
<v Speaker 2>You just keep me entertained. I love it.

0:00:56.874 --> 0:00:58.713
<v Speaker 1>I love it for us. I've got some crystals here

0:00:58.714 --> 0:01:01.953
<v Speaker 1>in my bag, right, Okay, So what are we discussing today? Well,

0:01:02.114 --> 0:01:04.834
<v Speaker 1>we are tackling a topic that is practically buried under

0:01:04.834 --> 0:01:07.994
<v Speaker 1>a mountain of fitness myths and on slee takes up

0:01:07.994 --> 0:01:11.754
<v Speaker 1>a lot of our emotional energy. Bally fat. Yeah, surely

0:01:11.794 --> 0:01:14.114
<v Speaker 1>I'm not alone on that one. Definitely not, And we're

0:01:14.114 --> 0:01:16.434
<v Speaker 1>looking at what you can do if you're one of

0:01:16.474 --> 0:01:19.994
<v Speaker 1>the one in three women who experience migrains.

0:01:19.554 --> 0:01:20.714
<v Speaker 2>So common that is me.

0:01:21.074 --> 0:01:23.954
<v Speaker 1>Yeah, And then we're unpacking your awkward asking for a

0:01:24.034 --> 0:01:28.074
<v Speaker 1>friend health questions, yes, even though we really know there

0:01:28.154 --> 0:01:29.674
<v Speaker 1>is no friend, she's a myth.

0:01:29.834 --> 0:01:32.794
<v Speaker 2>But first it is time for what the health your

0:01:32.874 --> 0:01:35.154
<v Speaker 2>quick dose of women's health headlines.

0:01:35.874 --> 0:01:38.274
<v Speaker 1>How are you well, how are you feeling? Are you well?

0:01:38.474 --> 0:01:38.953
<v Speaker 3>Are you well?

0:01:39.314 --> 0:01:39.594
<v Speaker 1>Cas?

0:01:39.754 --> 0:01:43.874
<v Speaker 2>I've been really blown away by this growing trend of

0:01:44.234 --> 0:01:48.634
<v Speaker 2>getting women to ask their doctors about having their tubes removed,

0:01:48.634 --> 0:01:53.394
<v Speaker 2>not tied, but removed for the sole purpose of preventing

0:01:54.034 --> 0:01:57.594
<v Speaker 2>ovarian cancer, which is one of those cancers that just

0:01:57.714 --> 0:02:01.354
<v Speaker 2>perennially scares the you know what out of women. They're

0:02:01.394 --> 0:02:05.154
<v Speaker 2>absolutely terrified of it because it's caught late, there's no symptoms.

0:02:05.714 --> 0:02:08.913
<v Speaker 2>It's really got a bad prognome, and studies have found

0:02:09.394 --> 0:02:10.994
<v Speaker 2>that often they seem.

0:02:10.754 --> 0:02:13.474
<v Speaker 1>To start in the tubes and spread up to the ovaries.

0:02:14.034 --> 0:02:16.514
<v Speaker 2>And when I say tubes, i'man fillopian tubes, the ones

0:02:16.554 --> 0:02:19.274
<v Speaker 2>that carry the egg from the ovary down into the uterus.

0:02:19.354 --> 0:02:19.674
<v Speaker 1>Got it.

0:02:19.914 --> 0:02:22.913
<v Speaker 2>And if we remove your tubes just as a preventive thing,

0:02:23.194 --> 0:02:25.514
<v Speaker 2>we just take them out. Let's say we're going in

0:02:25.554 --> 0:02:28.594
<v Speaker 2>there to do an endometriosis cleanup, or we're going to

0:02:28.594 --> 0:02:30.954
<v Speaker 2>take your appendix out. If we remove your tubes at

0:02:30.954 --> 0:02:33.914
<v Speaker 2>the same time, studies show we can prevent up to

0:02:33.994 --> 0:02:37.714
<v Speaker 2>eighty percent of ovarian cancer. So you're seat, yes, if

0:02:37.714 --> 0:02:41.114
<v Speaker 2>you're vulnerable, this is worth chatting about with your GP.

0:02:41.714 --> 0:02:43.834
<v Speaker 2>If you've never talked about it before, it's a whole

0:02:43.874 --> 0:02:45.834
<v Speaker 2>new thing that I've been really fascinated by.

0:02:46.034 --> 0:02:48.714
<v Speaker 1>And you're really we're talking about post children.

0:02:49.354 --> 0:02:51.194
<v Speaker 2>Well, you're not going to be able to conceive a

0:02:51.274 --> 0:02:53.754
<v Speaker 2>baby naturally if you don't have tubes. Those tubes are

0:02:53.914 --> 0:02:57.954
<v Speaker 2>essential for conception. But if you've done with that, or

0:02:58.034 --> 0:03:01.234
<v Speaker 2>if you are going to get something like pregenetic testing anyway,

0:03:01.274 --> 0:03:03.114
<v Speaker 2>like you are not going to go via the tube

0:03:03.154 --> 0:03:05.953
<v Speaker 2>or route anyway, then maybe it's something that you could

0:03:05.954 --> 0:03:08.994
<v Speaker 2>at least discuss with your Ovarian cancer tends to happen

0:03:09.034 --> 0:03:11.754
<v Speaker 2>to older women anyway, so it's unlikely we would be

0:03:11.794 --> 0:03:13.994
<v Speaker 2>doing it to a twenty year old. But there are

0:03:14.034 --> 0:03:16.634
<v Speaker 2>women who are at very high risk for genetic reasons.

0:03:16.674 --> 0:03:18.594
<v Speaker 2>Maybe they have conditions to put them at high risk.

0:03:19.354 --> 0:03:21.794
<v Speaker 2>It is not for everyone, but it is definitely worth

0:03:21.794 --> 0:03:24.073
<v Speaker 2>having a conversation with your doctor about if you think

0:03:24.114 --> 0:03:27.714
<v Speaker 2>that's something that you would benefit from. This is gaining momentum.

0:03:27.754 --> 0:03:30.514
<v Speaker 2>There are far more gynecologists bringing this up with their

0:03:30.554 --> 0:03:34.914
<v Speaker 2>patients and doing this surgery. It's not mainstream and absolutely

0:03:34.914 --> 0:03:37.634
<v Speaker 2>everywhere yet, but I think it will be, so watch

0:03:37.714 --> 0:03:41.274
<v Speaker 2>this space. Yeah. Grip strength is one of these things

0:03:41.274 --> 0:03:44.034
<v Speaker 2>that just keeps coming up and study after study showing

0:03:44.034 --> 0:03:45.954
<v Speaker 2>that it's like a predictor of how long you're going

0:03:46.034 --> 0:03:47.554
<v Speaker 2>to live and how healthy you're going to be into

0:03:47.594 --> 0:03:50.154
<v Speaker 2>your age, and like so much of me is just

0:03:50.314 --> 0:03:52.074
<v Speaker 2>tempted to go that is just the biggest load of

0:03:52.074 --> 0:03:55.114
<v Speaker 2>bologney I've ever heard, except that every single study shows

0:03:55.114 --> 0:03:57.154
<v Speaker 2>the same thing. So what I don't know, or what

0:03:57.234 --> 0:03:59.674
<v Speaker 2>researchers don't know, is is it just like a proxy

0:03:59.714 --> 0:04:02.354
<v Speaker 2>for your generalized strength, Like, is it sort of if

0:04:02.354 --> 0:04:04.874
<v Speaker 2>you've got a strong hand, you also have strong gut

0:04:04.954 --> 0:04:08.754
<v Speaker 2>muscles and strong leg muscles. Is there some special magic

0:04:08.794 --> 0:04:11.354
<v Speaker 2>in the hands. At this point, I'm not going to say,

0:04:11.474 --> 0:04:14.554
<v Speaker 2>like do jar opening exercises and like go to the

0:04:14.594 --> 0:04:16.874
<v Speaker 2>gym specifically to work on your hands, because that's the

0:04:16.873 --> 0:04:17.873
<v Speaker 2>best way to live longer.

0:04:18.194 --> 0:04:19.873
<v Speaker 1>But if you are somebody who thinks that.

0:04:19.873 --> 0:04:22.674
<v Speaker 2>Your health is really bad but you are awesome with

0:04:22.714 --> 0:04:25.393
<v Speaker 2>a handshake, you might actually have some really good news

0:04:25.393 --> 0:04:26.073
<v Speaker 2>on your side here.

0:04:26.594 --> 0:04:30.234
<v Speaker 1>So rock climbers are going to live a long time. Okay,

0:04:30.354 --> 0:04:33.313
<v Speaker 1>Dr Jenny over to the internet and what I've found

0:04:33.354 --> 0:04:36.914
<v Speaker 1>for us to discuss this week olive oil and bone broth.

0:04:37.433 --> 0:04:40.713
<v Speaker 1>I'm asking the question, de viral gut health foods actually

0:04:40.753 --> 0:04:43.674
<v Speaker 1>work or are they just filling my algorithm At the moment,

0:04:43.714 --> 0:04:48.193
<v Speaker 1>I'm seeing like cheer seed, water, seamoss, gel, bone broth

0:04:48.234 --> 0:04:51.433
<v Speaker 1>are all being promoted as ways to improve energy, moods,

0:04:51.433 --> 0:04:54.674
<v Speaker 1>and digestion. But scientists say evidence for many of these

0:04:54.993 --> 0:04:56.234
<v Speaker 1>claims are limited.

0:04:56.794 --> 0:04:59.234
<v Speaker 2>Yeah, I mean that's exactly right. We don't know that

0:04:59.313 --> 0:05:01.273
<v Speaker 2>they don't work. Yeah, we don't know that they do work.

0:05:01.274 --> 0:05:03.833
<v Speaker 2>The studies haven't been done, and it is really hard

0:05:03.834 --> 0:05:06.513
<v Speaker 2>to fund a study that does not have like some

0:05:06.553 --> 0:05:07.874
<v Speaker 2>commercially behind it.

0:05:08.234 --> 0:05:11.073
<v Speaker 1>But gut healing or gut health is not a bad thing.

0:05:11.154 --> 0:05:13.313
<v Speaker 2>What they're trying to do is nurture good bugs to

0:05:13.393 --> 0:05:15.513
<v Speaker 2>grow within your guts that do really good things for

0:05:15.794 --> 0:05:19.194
<v Speaker 2>your immune system and actually put out really interesting hormones

0:05:19.234 --> 0:05:21.633
<v Speaker 2>that affect your entire body. We don't know that any

0:05:21.674 --> 0:05:24.234
<v Speaker 2>of these particular viral trends do that more than let's say,

0:05:24.234 --> 0:05:27.553
<v Speaker 2>a great salad or some rock fried vegetables. We don't know.

0:05:27.594 --> 0:05:29.593
<v Speaker 1>So if you love a sey mos gel, you do you.

0:05:29.674 --> 0:05:31.234
<v Speaker 1>I'm very happy for you. If you love a bone

0:05:31.234 --> 0:05:33.713
<v Speaker 1>broth instead of a cup of tea or power to you.

0:05:33.753 --> 0:05:36.033
<v Speaker 2>For the rest of us, just cape eating the healthy food.

0:05:36.154 --> 0:05:38.154
<v Speaker 1>I don't mind a bit of bone broth, but I.

0:05:38.073 --> 0:05:39.794
<v Speaker 2>Think m'sure one that you buy or do you make

0:05:39.834 --> 0:05:40.193
<v Speaker 2>your own?

0:05:40.513 --> 0:05:43.274
<v Speaker 1>Oh gosh, I mean I barely make toast. No, I

0:05:43.313 --> 0:05:49.674
<v Speaker 1>definitely buy it. Okay. Up next, we need to talk

0:05:49.914 --> 0:05:53.433
<v Speaker 1>about belly fat. We're breaking down the massive role that

0:05:53.513 --> 0:05:57.633
<v Speaker 1>chronic stress plays and why losing abdominal fat has way

0:05:57.714 --> 0:06:00.354
<v Speaker 1>less to do with calories and way more to do

0:06:00.433 --> 0:06:07.833
<v Speaker 1>with your hormones. How are you, How are you hearing?

0:06:08.073 --> 0:06:09.994
<v Speaker 1>Are you well? Are you well? All right?

0:06:10.154 --> 0:06:13.354
<v Speaker 2>It is time for Are you Well, where we unpack

0:06:13.474 --> 0:06:17.474
<v Speaker 2>the most important conversations that are happening in health right now. Now.

0:06:17.513 --> 0:06:18.433
<v Speaker 1>First up today, CAF.

0:06:18.474 --> 0:06:20.794
<v Speaker 2>I'm so excited about this because we're going to talk

0:06:20.873 --> 0:06:24.113
<v Speaker 2>about the thing that is so distressing to my patients,

0:06:24.193 --> 0:06:27.393
<v Speaker 2>like to a woman, and that is the belly fat.

0:06:27.513 --> 0:06:29.674
<v Speaker 2>They are saying, what is going on with this? They

0:06:29.714 --> 0:06:32.473
<v Speaker 2>are pointing to their bellies and to a woman, they're

0:06:32.513 --> 0:06:35.833
<v Speaker 2>really worried about, even if they haven't stacked on kilos,

0:06:35.873 --> 0:06:38.274
<v Speaker 2>the fact that they're thickening up around the waist. So

0:06:38.354 --> 0:06:41.153
<v Speaker 2>I thought we could talk about exactly what belly fat

0:06:41.193 --> 0:06:44.433
<v Speaker 2>is and how it differs to the jiggly stuff on

0:06:44.433 --> 0:06:44.954
<v Speaker 2>your thighs.

0:06:45.154 --> 0:06:49.633
<v Speaker 1>Ah Me and my Tami are or LEAs okay cat, yes,

0:06:49.993 --> 0:06:50.913
<v Speaker 1>tell me ready.

0:06:51.433 --> 0:06:54.873
<v Speaker 2>There are basically two types of fat in your body.

0:06:55.034 --> 0:06:58.234
<v Speaker 2>The belly fat is also known as visceral fats. So

0:06:58.313 --> 0:07:01.713
<v Speaker 2>what you see is actually only part of the story

0:07:01.714 --> 0:07:03.994
<v Speaker 2>because actually most of the fat is sitting around the

0:07:04.154 --> 0:07:08.074
<v Speaker 2>organs that are inside your belly. So things like your liver,

0:07:08.154 --> 0:07:11.234
<v Speaker 2>your pancreas, the guts themselves now start to get coated

0:07:11.274 --> 0:07:14.114
<v Speaker 2>with fat and that expands your waistline, so it's not

0:07:14.434 --> 0:07:18.834
<v Speaker 2>sitting under the skin, it's actually internal. And what's really

0:07:18.914 --> 0:07:23.434
<v Speaker 2>important about this is that that fat behaves differently inside

0:07:23.474 --> 0:07:29.154
<v Speaker 2>your body, emitting all of these crazy pro inflammatory chemicals.

0:07:28.914 --> 0:07:30.994
<v Speaker 1>That actually wreak havoc throughout the.

0:07:30.914 --> 0:07:34.154
<v Speaker 2>Body, including your brain, your immune system, your heart.

0:07:34.194 --> 0:07:38.074
<v Speaker 1>It's wild different to the fat on main.

0:07:37.953 --> 0:07:41.074
<v Speaker 2>A thigh under my eyes, so we call that your

0:07:41.314 --> 0:07:45.593
<v Speaker 2>subcutaneous fat, that wobbly fat. Actually, it doesn't seem to

0:07:45.634 --> 0:07:49.754
<v Speaker 2>secrete any of those nasty adipokinds those hormones that are

0:07:49.754 --> 0:07:52.953
<v Speaker 2>secreted by your visceral fat, and in some studies it

0:07:52.994 --> 0:07:57.713
<v Speaker 2>could even be protective against some of those chronic diseases

0:07:57.754 --> 0:08:00.834
<v Speaker 2>that are driven by your belly fat. So actually, if

0:08:00.834 --> 0:08:03.474
<v Speaker 2>you see a wobble on your bottom, welcome it because

0:08:03.474 --> 0:08:04.354
<v Speaker 2>it actually could be.

0:08:04.634 --> 0:08:06.714
<v Speaker 1>Good news for your body.

0:08:07.154 --> 0:08:08.874
<v Speaker 2>But we do need to talk about that belly fat

0:08:08.914 --> 0:08:11.594
<v Speaker 2>because that's exactly what you don't want as you get

0:08:11.594 --> 0:08:15.194
<v Speaker 2>older and you're looking to prevent those chronic diseases.

0:08:15.594 --> 0:08:18.714
<v Speaker 1>Okay, so tell me how are we going to stop it?

0:08:19.234 --> 0:08:22.033
<v Speaker 2>Okay, So think of your belly fat. Yeah, all of

0:08:22.074 --> 0:08:24.514
<v Speaker 2>the chemicals that it sends out into the body, being

0:08:24.554 --> 0:08:27.914
<v Speaker 2>in competition with your muscles, and all of the chemicals

0:08:27.953 --> 0:08:30.674
<v Speaker 2>it sends out into your body that are anti inflammatory,

0:08:31.034 --> 0:08:33.954
<v Speaker 2>build your immune system, build parts of your brain that

0:08:34.074 --> 0:08:37.754
<v Speaker 2>prevent falls, like help your balance. It's wild how much

0:08:37.874 --> 0:08:42.514
<v Speaker 2>those myokinds the muscle derived chemicals actually do. And the

0:08:42.514 --> 0:08:45.314
<v Speaker 2>more muscle you have, the more antagonism you get of

0:08:45.394 --> 0:08:47.794
<v Speaker 2>the Adippo kinds coming out of your belly fat. So

0:08:47.954 --> 0:08:50.354
<v Speaker 2>in that war, muscle is the winner. We want to

0:08:50.394 --> 0:08:53.834
<v Speaker 2>actually have more resistance training to actually combat that and

0:08:53.834 --> 0:08:56.594
<v Speaker 2>build your muscle and actually can reduce your belly fat

0:08:56.634 --> 0:09:00.194
<v Speaker 2>as well. In terms of your food, your enemy is

0:09:00.234 --> 0:09:04.114
<v Speaker 2>your highly processed carbohydrates, anything out of a packet. Those

0:09:04.114 --> 0:09:06.794
<v Speaker 2>things and like soft drinks as well, seem to really

0:09:06.874 --> 0:09:11.114
<v Speaker 2>draw your body's ability to make belly fat. So they

0:09:11.114 --> 0:09:13.114
<v Speaker 2>are like now off the menu. Like as if we

0:09:13.114 --> 0:09:14.994
<v Speaker 2>haven't talked about that enough on this show, but like

0:09:15.034 --> 0:09:18.234
<v Speaker 2>we have to really drive that message home. We want

0:09:18.674 --> 0:09:22.114
<v Speaker 2>more protein, less stress hahah. Like that's easy to do.

0:09:22.594 --> 0:09:25.754
<v Speaker 2>And cardio like your aerobics, you're running, it's gonna help,

0:09:25.754 --> 0:09:27.834
<v Speaker 2>but it's not as much as you think it's. Actually

0:09:28.074 --> 0:09:29.794
<v Speaker 2>your resistance training is going to do more.

0:09:30.074 --> 0:09:33.194
<v Speaker 1>Really so not so I should not sign up for marathon?

0:09:33.314 --> 0:09:35.994
<v Speaker 1>Is so what you're saying, Oh, you're not signing up

0:09:36.034 --> 0:09:36.594
<v Speaker 1>from Maria? Oh?

0:09:36.634 --> 0:09:38.874
<v Speaker 2>Yes, yes, you and I sorry wink week. Yes, we

0:09:38.954 --> 0:09:41.074
<v Speaker 2>definitely don't want to be doing marathons. Well, if you

0:09:41.194 --> 0:09:43.074
<v Speaker 2>love marathons and you're a listener to this show, we

0:09:43.114 --> 0:09:45.554
<v Speaker 2>are so insupportive. Yes, But for the rest of us

0:09:45.594 --> 0:09:48.274
<v Speaker 2>who couldn't think of anything worse, it's fine. What we

0:09:48.314 --> 0:09:50.634
<v Speaker 2>can do is go for a walk, a brisk walk,

0:09:50.994 --> 0:09:52.634
<v Speaker 2>for half an hour a day. But we've just got

0:09:52.674 --> 0:09:55.034
<v Speaker 2>to do like probably one and a half to two

0:09:55.034 --> 0:09:57.074
<v Speaker 2>hours a week of that resistance training to build up

0:09:57.074 --> 0:09:57.714
<v Speaker 2>those muscles.

0:09:57.754 --> 0:10:00.074
<v Speaker 1>So resistance training is literally going to do more for

0:10:00.194 --> 0:10:04.034
<v Speaker 1>my Tami than the cardio. Yes, that's because I think

0:10:04.314 --> 0:10:06.314
<v Speaker 1>shredded the cardio.

0:10:06.074 --> 0:10:08.394
<v Speaker 2>I always think of show, and I think that certainly

0:10:08.394 --> 0:10:09.514
<v Speaker 2>happens when you're younger.

0:10:09.514 --> 0:10:11.714
<v Speaker 1>But as you cross over the threshold.

0:10:11.314 --> 0:10:15.314
<v Speaker 2>Into menopause, you just get this tendency to accumulate the

0:10:15.354 --> 0:10:17.954
<v Speaker 2>belly fat, that fat around your organs, and that's what

0:10:17.954 --> 0:10:19.634
<v Speaker 2>we will really be going to war against.

0:10:19.714 --> 0:10:22.074
<v Speaker 1>So why as we as we hit manopause, does it

0:10:22.114 --> 0:10:23.234
<v Speaker 1>sit around our time anymore.

0:10:23.354 --> 0:10:26.154
<v Speaker 2>We don't know. Like we assume it's to do with estrogen,

0:10:26.194 --> 0:10:29.594
<v Speaker 2>and that estrogen puts wobbly fat onto your bottom and

0:10:29.714 --> 0:10:32.474
<v Speaker 2>stops it going onto your organs, But.

0:10:32.434 --> 0:10:34.994
<v Speaker 1>We don't know that for sure. We're just assuming it.

0:10:35.274 --> 0:10:38.554
<v Speaker 1>What about my crunches that I don't do, they're helping

0:10:39.594 --> 0:10:41.994
<v Speaker 1>all the crunches you don't go or not my cruncheese

0:10:41.994 --> 0:10:44.594
<v Speaker 1>that I eat. My crunches and my ab works. I

0:10:44.674 --> 0:10:45.794
<v Speaker 1>think we can say are solid.

0:10:45.874 --> 0:10:48.474
<v Speaker 2>No on the exercise you don't do, but any exercise

0:10:48.514 --> 0:10:50.594
<v Speaker 2>that you do that is like resist because crunches are

0:10:50.634 --> 0:10:53.034
<v Speaker 2>really good for resistance, soul push ups, they're all are.

0:10:53.114 --> 0:10:55.954
<v Speaker 1>Yes, we're a hard those your pilates class. That's great.

0:10:56.194 --> 0:10:59.754
<v Speaker 1>So basically, no bad food and more exercise.

0:11:00.314 --> 0:11:02.674
<v Speaker 2>Well, when we say no bad food, let's just say

0:11:02.794 --> 0:11:05.354
<v Speaker 2>let's minimize that. Okay, and none of us in this

0:11:05.434 --> 0:11:07.314
<v Speaker 2>room are wearing a halo that I can from us.

0:11:07.394 --> 0:11:10.074
<v Speaker 2>You is just more good, less bad. Is going to

0:11:10.114 --> 0:11:12.914
<v Speaker 2>be the motto of will from now on in We're.

0:11:12.834 --> 0:11:15.434
<v Speaker 1>Gonna get Henna tattoos with that on. Oh yeah, maybe

0:11:15.434 --> 0:11:20.554
<v Speaker 1>a coffee marm did emerge. Yeah. Up next, we need

0:11:20.594 --> 0:11:24.074
<v Speaker 1>to talk about migraines, what's actually going on in the

0:11:24.074 --> 0:11:26.834
<v Speaker 1>brain when they hit, and why they are a lot

0:11:26.914 --> 0:11:30.754
<v Speaker 1>more than just a bad headache.

0:11:34.634 --> 0:11:37.834
<v Speaker 2>Okay, moving on now, and in our next are you well,

0:11:37.874 --> 0:11:39.354
<v Speaker 2>we're going to talk migraines.

0:11:40.114 --> 0:11:42.394
<v Speaker 1>Something close to my well not my heart, my head.

0:11:42.634 --> 0:11:46.354
<v Speaker 1>Let's go. So, Kath, you are a migraine sufferer. Yes,

0:11:46.434 --> 0:11:50.154
<v Speaker 1>I'm a card carrying migraine sufferer. How often, Oh, I

0:11:50.194 --> 0:11:54.274
<v Speaker 1>feel very hormonal around was sort of around my periods

0:11:54.394 --> 0:11:56.914
<v Speaker 1>and then when I was pregnant, and now I think

0:11:56.914 --> 0:11:59.314
<v Speaker 1>I've got some as part of my perimenopause mix.

0:11:59.594 --> 0:12:02.274
<v Speaker 2>Yeah, they often go up in perry, mainly because you're

0:12:02.274 --> 0:12:05.794
<v Speaker 2>having hormone swings, and hormones are such a driver of them.

0:12:06.194 --> 0:12:08.914
<v Speaker 1>Okay, So I'm all across a migraine like a hot chip.

0:12:09.034 --> 0:12:11.834
<v Speaker 1>For our listeners who aren't, what is the difference between

0:12:11.834 --> 0:12:12.954
<v Speaker 1>a migraine and a headache?

0:12:13.034 --> 0:12:15.594
<v Speaker 2>It can be really hard to tell. For the one

0:12:15.634 --> 0:12:18.394
<v Speaker 2>in three women who do get migraines in Australia's and

0:12:18.474 --> 0:12:19.674
<v Speaker 2>that number just ridiculous.

0:12:20.194 --> 0:12:24.034
<v Speaker 1>It is a severe headache, and the classic.

0:12:23.594 --> 0:12:26.714
<v Speaker 2>Stereotype is that it's one side that it comes on

0:12:26.914 --> 0:12:31.114
<v Speaker 2>really suddenly, that it comes on with like some warning signs,

0:12:31.154 --> 0:12:34.474
<v Speaker 2>maybe some blurred vision or smelling something weird, and you

0:12:34.554 --> 0:12:37.794
<v Speaker 2>can't tolerate bright lights or really loud sounds, and you

0:12:37.834 --> 0:12:39.874
<v Speaker 2>often want to throw up or even do throw up.

0:12:40.634 --> 0:12:43.234
<v Speaker 2>In my experience, what a migraine is is a headache

0:12:43.274 --> 0:12:45.354
<v Speaker 2>that is so severe that you cannot just get on

0:12:45.394 --> 0:12:46.794
<v Speaker 2>with it and take a couple of pounds at all.

0:12:46.874 --> 0:12:51.713
<v Speaker 2>It's a really nasty, nasty headache, and that's going to

0:12:51.754 --> 0:12:54.394
<v Speaker 2>make a lot of listeners go, oh, that could be me.

0:12:54.714 --> 0:12:56.514
<v Speaker 2>A lot of my patients have never been told they've

0:12:56.514 --> 0:12:58.514
<v Speaker 2>got migraines, but they've been missing.

0:12:58.354 --> 0:13:00.514
<v Speaker 1>Work because of headaches for years, and that.

0:13:00.594 --> 0:13:02.994
<v Speaker 2>Is a migraine. That is exactly what a migraine is.

0:13:03.474 --> 0:13:05.154
<v Speaker 1>Okay, So what actually causes them?

0:13:05.754 --> 0:13:08.434
<v Speaker 2>Honestly, we don't know. It's interesting you were saying that

0:13:08.474 --> 0:13:10.474
<v Speaker 2>a lot of your family members have them. It so

0:13:10.794 --> 0:13:13.474
<v Speaker 2>runs in families, it does, okay for sure, and I

0:13:13.514 --> 0:13:17.754
<v Speaker 2>see women with migraines getting much worse around Perry, but

0:13:17.874 --> 0:13:20.554
<v Speaker 2>often their kids are coming home from school with really

0:13:20.634 --> 0:13:23.674
<v Speaker 2>debilitating headaches. It happens in kids as well, and that's

0:13:23.674 --> 0:13:27.434
<v Speaker 2>something worth knowing about. What is really easier to decode

0:13:27.714 --> 0:13:30.634
<v Speaker 2>is what are your triggers. So hormones are the big one,

0:13:30.794 --> 0:13:33.994
<v Speaker 2>but for a lot of women, it's stress. It's missing

0:13:34.074 --> 0:13:37.554
<v Speaker 2>sleep again, that's so bad in Perry. It's like skipping

0:13:37.594 --> 0:13:40.154
<v Speaker 2>meals can trigger a migraine that some people have, like

0:13:40.274 --> 0:13:43.554
<v Speaker 2>chocolate or red wine. If you know what your triggers are,

0:13:43.594 --> 0:13:45.754
<v Speaker 2>and sometimes you need to do a headache diary. But

0:13:45.794 --> 0:13:47.514
<v Speaker 2>if you know what they are, you've got a better

0:13:47.594 --> 0:13:49.834
<v Speaker 2>chance of staying on top of it and heading them off.

0:13:49.834 --> 0:13:52.034
<v Speaker 1>At the past, yeah, I mean for me, it just

0:13:52.074 --> 0:13:54.674
<v Speaker 1>seemed to be hormones. There was no kind of other trigger,

0:13:54.794 --> 0:13:57.194
<v Speaker 1>but it was just like bang and they are You're

0:13:57.194 --> 0:14:00.674
<v Speaker 1>out for the count. Okay. For those listening at home

0:14:00.794 --> 0:14:03.514
<v Speaker 1>who think they might be having migraines or do have

0:14:03.594 --> 0:14:05.914
<v Speaker 1>them and want to know more, what do we do

0:14:05.954 --> 0:14:07.154
<v Speaker 1>when we feel when coming on?

0:14:07.954 --> 0:14:10.114
<v Speaker 2>So I think the first thing to do is to

0:14:10.234 --> 0:14:13.034
<v Speaker 2>check in with your GP, maybe with a headache diary,

0:14:13.154 --> 0:14:15.514
<v Speaker 2>so you can see what patterns you're looking at. If

0:14:15.554 --> 0:14:17.794
<v Speaker 2>it's always coming on before your period, if it's up

0:14:17.794 --> 0:14:19.114
<v Speaker 2>and down like a yo yo, but you're in.

0:14:19.154 --> 0:14:21.194
<v Speaker 1>Piry, that's very very valid.

0:14:21.674 --> 0:14:23.074
<v Speaker 2>I also want to know what time of the day

0:14:23.074 --> 0:14:25.034
<v Speaker 2>they're coming on, so we can try and help you

0:14:25.114 --> 0:14:28.194
<v Speaker 2>plan for this. There are medications that we can get

0:14:28.194 --> 0:14:30.794
<v Speaker 2>you to start on, and sooner is better than later.

0:14:31.194 --> 0:14:34.594
<v Speaker 2>It's much easier to head off a migraine before it's

0:14:34.594 --> 0:14:37.954
<v Speaker 2>at its most severe than once that horse has bolted,

0:14:38.234 --> 0:14:40.914
<v Speaker 2>so early on in the piece, take either some sort

0:14:40.914 --> 0:14:44.554
<v Speaker 2>of over the counter painkiller, a nonstoidlan inflammatory drug, even

0:14:44.594 --> 0:14:47.594
<v Speaker 2>something like an ibuprofen or a paracetamol. If you can

0:14:47.594 --> 0:14:50.234
<v Speaker 2>do that early, and you can even get these specialized

0:14:50.314 --> 0:14:54.234
<v Speaker 2>migraine treatments that are called triptnds that help control the

0:14:54.234 --> 0:14:57.034
<v Speaker 2>way your blood vessels work during a migraine. You can

0:14:57.074 --> 0:14:59.554
<v Speaker 2>get those over the counter. It's more expensive than getting

0:14:59.554 --> 0:15:01.914
<v Speaker 2>them on a script. But if you can tell your GP,

0:15:02.114 --> 0:15:04.754
<v Speaker 2>I've tried these tripped hands and this worked or it

0:15:04.754 --> 0:15:07.554
<v Speaker 2>didn't work, that can really help us decode going on

0:15:07.634 --> 0:15:09.994
<v Speaker 2>with your headache. And even if you have a tension

0:15:09.994 --> 0:15:11.754
<v Speaker 2>headache which tends to come on at the end of

0:15:11.794 --> 0:15:14.394
<v Speaker 2>the day and feels like a tight band around your

0:15:14.434 --> 0:15:16.434
<v Speaker 2>head and it's not so severe that you feel like

0:15:16.434 --> 0:15:19.634
<v Speaker 2>you need to go home, they can trigger migraines as well,

0:15:19.674 --> 0:15:21.554
<v Speaker 2>So really take a note of that and go to

0:15:21.594 --> 0:15:24.154
<v Speaker 2>your GP with that, and then we might try and

0:15:24.194 --> 0:15:26.754
<v Speaker 2>help get you some preventters. So there are different things

0:15:26.754 --> 0:15:29.514
<v Speaker 2>that we can prevent it with. There are certain medications

0:15:29.794 --> 0:15:33.434
<v Speaker 2>and if you meet the criteria for chronic migraine, this

0:15:33.554 --> 0:15:34.354
<v Speaker 2>is really important.

0:15:34.434 --> 0:15:35.834
<v Speaker 1>Well, does a chronic migraine.

0:15:35.834 --> 0:15:38.514
<v Speaker 2>So the definition of that is that you have ten

0:15:38.714 --> 0:15:42.714
<v Speaker 2>days a month with a headache of some sort, eight

0:15:42.874 --> 0:15:44.034
<v Speaker 2>being severe enough to.

0:15:43.994 --> 0:15:46.314
<v Speaker 1>Be that's a lot, but it's.

0:15:46.194 --> 0:15:49.514
<v Speaker 2>More common than you think. Then with that, if that's

0:15:49.554 --> 0:15:51.434
<v Speaker 2>happened for more than three months in a row, you

0:15:51.474 --> 0:15:54.554
<v Speaker 2>are now eligible to go to a neurologist a specialists

0:15:54.754 --> 0:15:57.714
<v Speaker 2>and get like. There's a whole raft of migrain preventers

0:15:57.714 --> 0:16:02.274
<v Speaker 2>out there. Everything from botox on medicare go to one

0:16:02.314 --> 0:16:04.234
<v Speaker 2>different points around your head and your neck. It's not

0:16:04.314 --> 0:16:06.994
<v Speaker 2>meant to relax your neck muscles. It's actually meant to

0:16:07.154 --> 0:16:10.114
<v Speaker 2>control the nerves that stimulate and actually cause a migraine.

0:16:10.394 --> 0:16:11.474
<v Speaker 1>Through to these new.

0:16:11.394 --> 0:16:14.834
<v Speaker 2>Injection medications that can prevent migraines and actually reduce them

0:16:14.874 --> 0:16:18.554
<v Speaker 2>by half or even more. So, those headache diaries are

0:16:18.674 --> 0:16:21.754
<v Speaker 2>worth gold because it can tell us more than you think.

0:16:21.874 --> 0:16:26.354
<v Speaker 2>Most of my patients underestimate their migraines. They're not being hypochondriac,

0:16:26.474 --> 0:16:27.674
<v Speaker 2>they're quite the opposite.

0:16:27.754 --> 0:16:30.194
<v Speaker 1>I mean, I've suffered from migraines since I was ten.

0:16:30.674 --> 0:16:34.354
<v Speaker 1>I had no idea of half of that stuff. That's incredible.

0:16:34.674 --> 0:16:38.634
<v Speaker 2>Yeah, I think my passion is that more women come

0:16:38.714 --> 0:16:41.834
<v Speaker 2>forward and get treatment, because I think too many women

0:16:41.914 --> 0:16:44.674
<v Speaker 2>are actually just sucking it up. And I mean so

0:16:44.754 --> 0:16:47.354
<v Speaker 2>many my patients don't even realize that their headaches are migraines.

0:16:47.434 --> 0:16:49.954
<v Speaker 1>Yeah, And I do have to say, unless you've suffered

0:16:49.954 --> 0:16:53.114
<v Speaker 1>from migraines, like I've had to pull out of social events,

0:16:53.194 --> 0:16:56.234
<v Speaker 1>I've been driving to things when the trails come on,

0:16:56.314 --> 0:16:58.994
<v Speaker 1>which is kind of the bleary eyed, and I've had

0:16:59.034 --> 0:17:01.634
<v Speaker 1>to go home. And you know, mister friends fortieth, and

0:17:01.674 --> 0:17:04.794
<v Speaker 1>I think unless you know the pain, people are like, oh,

0:17:04.834 --> 0:17:06.674
<v Speaker 1>she's just got a headache, you know. So I think

0:17:06.714 --> 0:17:09.154
<v Speaker 1>it's really important for women to feel seen and heard

0:17:09.194 --> 0:17:12.354
<v Speaker 1>when it comes to this. I'm just asking for a friend,

0:17:12.394 --> 0:17:16.194
<v Speaker 1>So my friend, they want to know. It's not for me, Jack,

0:17:16.434 --> 0:17:20.234
<v Speaker 1>just asking for a friend. Ah, It's time for everyone's

0:17:20.274 --> 0:17:24.914
<v Speaker 1>favorite d dinner. Asking for a friend. Awkward health questions

0:17:24.954 --> 0:17:27.074
<v Speaker 1>that we all know aren't actually about your friend, but

0:17:27.194 --> 0:17:30.793
<v Speaker 1>we pretend they are anyway. Okay, today's question comes in

0:17:30.834 --> 0:17:34.714
<v Speaker 1>from an anonymous listener. The plot thickens, Doctor Ginny, what

0:17:34.754 --> 0:17:36.594
<v Speaker 1>have we got? Hi? Doctor Ginny?

0:17:36.594 --> 0:17:39.154
<v Speaker 3>And kath asking for a friend? I really am this

0:17:39.194 --> 0:17:42.674
<v Speaker 3>is not about me? Is wetting yourself? Actually normal. My

0:17:42.754 --> 0:17:44.513
<v Speaker 3>friend's wears it's no big deal, but every now and

0:17:44.594 --> 0:17:47.394
<v Speaker 3>then she'll leak a little when she laughs, sneezes, coughs,

0:17:47.474 --> 0:17:50.194
<v Speaker 3>or exercises. She's always assumed it's just one of those

0:17:50.194 --> 0:17:52.634
<v Speaker 3>things that happens after having kids or when you're getting older,

0:17:52.674 --> 0:17:54.994
<v Speaker 3>but now she's wondering whether that's actually true. And to

0:17:55.034 --> 0:17:58.033
<v Speaker 3>be honest, so am I how much polity leakage is

0:17:58.154 --> 0:18:00.874
<v Speaker 3>considered normal, if any? And at what point should someone

0:18:00.914 --> 0:18:02.834
<v Speaker 3>stop putting up with it and get it checked out?

0:18:03.234 --> 0:18:06.434
<v Speaker 2>Oh? Anonymous, thank you so much for sending in my

0:18:06.514 --> 0:18:07.754
<v Speaker 2>favorite ques ever?

0:18:08.034 --> 0:18:09.234
<v Speaker 1>Oh is it you didn't know?

0:18:09.274 --> 0:18:09.874
<v Speaker 3>That? Is you?

0:18:09.954 --> 0:18:11.194
<v Speaker 1>Trivia section? Yeah?

0:18:11.594 --> 0:18:11.754
<v Speaker 2>Ques?

0:18:12.034 --> 0:18:12.954
<v Speaker 1>Okay, let's go.

0:18:13.394 --> 0:18:15.554
<v Speaker 2>Can I just tell you this is so common and

0:18:15.714 --> 0:18:19.074
<v Speaker 2>no one talks about it. I agree with your friend, like,

0:18:19.114 --> 0:18:21.914
<v Speaker 2>it is really really common, and not just in women

0:18:21.954 --> 0:18:24.034
<v Speaker 2>who've had lots of long labors. You can have had

0:18:24.074 --> 0:18:26.074
<v Speaker 2>one cesarean and it happens to you. I've got friends

0:18:26.074 --> 0:18:28.554
<v Speaker 2>who've never had kids and it happens to them. And

0:18:29.154 --> 0:18:31.874
<v Speaker 2>let's face it, you've got a lot of stuff sitting

0:18:31.994 --> 0:18:34.354
<v Speaker 2>on what is a very small muscle of your pelvic

0:18:34.394 --> 0:18:38.434
<v Speaker 2>floor and it gets stretched and then you get like

0:18:38.474 --> 0:18:40.514
<v Speaker 2>a bit of menopause thrown in and there's not enough

0:18:40.634 --> 0:18:43.354
<v Speaker 2>estrogen sort of to tighten up the ubrethrow.

0:18:42.914 --> 0:18:45.114
<v Speaker 1>Which is the little tube that takes.

0:18:44.874 --> 0:18:47.914
<v Speaker 2>We straight out from the bladder out to the vulva,

0:18:48.074 --> 0:18:49.114
<v Speaker 2>and it's expelled there.

0:18:49.594 --> 0:18:51.513
<v Speaker 1>Men have got such a nice little design.

0:18:51.594 --> 0:18:53.394
<v Speaker 2>There's a little kink like it goes down but then

0:18:53.434 --> 0:18:55.914
<v Speaker 2>it goes up again, which means that gravity is on

0:18:55.954 --> 0:18:58.474
<v Speaker 2>their side. For women, it's like there is nothing to

0:18:58.554 --> 0:19:01.194
<v Speaker 2>hold it in other than that pelvic floor. And if

0:19:01.234 --> 0:19:05.194
<v Speaker 2>you have got extra stuff in your pelvis, let's say

0:19:05.194 --> 0:19:07.674
<v Speaker 2>you've got a big uterus because you've got a fibroids.

0:19:07.714 --> 0:19:10.674
<v Speaker 2>Seventy percent of women age fifty have a fibroid. Let's

0:19:10.674 --> 0:19:14.474
<v Speaker 2>say you're very constipated like Kathy. You know, that's another favorite.

0:19:13.874 --> 0:19:17.434
<v Speaker 2>I love talking Pooh And a lot of my patients

0:19:17.434 --> 0:19:20.194
<v Speaker 2>have a lot of stuff sitting on the pelvic floor,

0:19:20.354 --> 0:19:23.394
<v Speaker 2>like clogging up their rectum. It all just puts pressure

0:19:23.514 --> 0:19:26.634
<v Speaker 2>on that poor little pelvic floor and she's not doing well.

0:19:26.714 --> 0:19:29.194
<v Speaker 2>She's not doing well out there. And we all got

0:19:29.194 --> 0:19:31.593
<v Speaker 2>told to do kegel exercises after we had our babies.

0:19:31.594 --> 0:19:32.554
<v Speaker 2>Did any of us do them?

0:19:32.594 --> 0:19:32.674
<v Speaker 4>No?

0:19:32.714 --> 0:19:34.874
<v Speaker 2>I did not don't do a poet.

0:19:36.474 --> 0:19:37.794
<v Speaker 1>Talk about it.

0:19:37.874 --> 0:19:39.914
<v Speaker 2>I only ever do this when I have this conversation

0:19:40.074 --> 0:19:42.194
<v Speaker 2>and then I forget tens ayears later, like we don't

0:19:42.234 --> 0:19:47.593
<v Speaker 2>do it. And so the reality is studies show that

0:19:47.834 --> 0:19:51.954
<v Speaker 2>pelvic floor physio can really help the problem with real

0:19:51.994 --> 0:19:55.114
<v Speaker 2>world pelvic floor physio is number one, no one's got time.

0:19:55.514 --> 0:19:57.434
<v Speaker 2>Number two, no one does their homework because we're all

0:19:57.474 --> 0:19:59.994
<v Speaker 2>so busy, And number three, we just put up with

0:20:00.034 --> 0:20:01.754
<v Speaker 2>it because we don't talk about it and we don't

0:20:01.794 --> 0:20:04.074
<v Speaker 2>go like this actually sucks. I don't want my underpants

0:20:04.074 --> 0:20:06.394
<v Speaker 2>smelling like a pub urinal. I don't really want to

0:20:06.474 --> 0:20:08.594
<v Speaker 2>not be able to go do some sport in case

0:20:08.634 --> 0:20:11.874
<v Speaker 2>I accidentally unload the entire contents of my bladder into

0:20:11.874 --> 0:20:14.674
<v Speaker 2>my netbul gear. Like this is actually a really big problem,

0:20:14.714 --> 0:20:17.593
<v Speaker 2>and especially if it means that you can't exercise.

0:20:17.554 --> 0:20:19.394
<v Speaker 1>You don't stopping you do things, and.

0:20:19.354 --> 0:20:22.793
<v Speaker 2>It's stopping you drinking and you now become dehydrated, we

0:20:22.834 --> 0:20:25.714
<v Speaker 2>do need to address it. So girls, this is going

0:20:25.794 --> 0:20:28.834
<v Speaker 2>to be like a well movement. Can we talk about

0:20:28.834 --> 0:20:30.474
<v Speaker 2>the pelvic floor? Can we just talk about it and

0:20:30.514 --> 0:20:32.593
<v Speaker 2>the fact that we do need to be doing our

0:20:32.634 --> 0:20:36.594
<v Speaker 2>pelvic floor exercises that if you do your pelvic floor physio,

0:20:36.834 --> 0:20:39.914
<v Speaker 2>if you address your constipation, if you deal with a

0:20:39.994 --> 0:20:43.234
<v Speaker 2>massive fibroid, if it's there, we can actually help you

0:20:43.354 --> 0:20:45.513
<v Speaker 2>quite a lot. And it's not like the answer is

0:20:45.594 --> 0:20:48.314
<v Speaker 2>either surgery or suck it up, princess. There is a

0:20:48.474 --> 0:20:50.914
<v Speaker 2>world of stuff we can do between here and there

0:20:51.154 --> 0:20:53.314
<v Speaker 2>to actually fix our pelvic floors and get you drinking

0:20:53.354 --> 0:20:53.994
<v Speaker 2>properly again.

0:20:54.434 --> 0:20:57.034
<v Speaker 1>Okay, so what are we starting with public floor exercises?

0:20:57.154 --> 0:20:58.994
<v Speaker 2>Maybe have a chat to your GP, if you feel

0:20:59.034 --> 0:21:01.794
<v Speaker 2>comfortable to see your GP about it, because you could

0:21:01.874 --> 0:21:04.434
<v Speaker 2>even maybe get a chronic disease management plan to actually

0:21:04.474 --> 0:21:06.634
<v Speaker 2>go to a physio and get some subsidive on Medicare

0:21:06.714 --> 0:21:09.354
<v Speaker 2>for that. Let's just see what happens. But I think

0:21:09.754 --> 0:21:11.714
<v Speaker 2>the more we talk about it and accept that this

0:21:11.794 --> 0:21:14.354
<v Speaker 2>is now impinging on your life. Your health depends on

0:21:14.634 --> 0:21:17.513
<v Speaker 2>adequate hydration and doing exercises.

0:21:16.994 --> 0:21:17.554
<v Speaker 1>You get older.

0:21:17.594 --> 0:21:19.754
<v Speaker 2>If we talk about this, we can actually fix it.

0:21:20.114 --> 0:21:23.434
<v Speaker 2>Love this, So Anonymous, can we just tell your friend,

0:21:23.994 --> 0:21:26.914
<v Speaker 2>let's get her off to the GP, that what she's

0:21:26.994 --> 0:21:30.194
<v Speaker 2>experiencing is not cool, it's not okay, and we're going

0:21:30.274 --> 0:21:32.714
<v Speaker 2>to actually work on her pelvic floor and she's going

0:21:32.754 --> 0:21:35.594
<v Speaker 2>to take it as seriously as any other health message,

0:21:35.794 --> 0:21:37.554
<v Speaker 2>because this is going to impact her for the rest

0:21:37.554 --> 0:21:38.234
<v Speaker 2>of her life.

0:21:38.554 --> 0:21:40.634
<v Speaker 1>Wow, you are so passionate about that.

0:21:41.314 --> 0:21:43.914
<v Speaker 2>Pooh, we Vagina's got all my passions.

0:21:44.074 --> 0:21:46.954
<v Speaker 1>I just love that. Okay, Right, so we're all pelvic

0:21:46.994 --> 0:21:48.954
<v Speaker 1>floor exercising right now.

0:21:48.794 --> 0:21:50.034
<v Speaker 2>Right now we are Okay.

0:21:50.034 --> 0:21:52.754
<v Speaker 1>I've got another dilamma for you, Ginny. The question comes

0:21:52.754 --> 0:21:55.994
<v Speaker 1>from thirty four year old Irene Hey Irene, Hi, Doctor

0:21:56.034 --> 0:21:56.674
<v Speaker 1>Ginny and Cath.

0:21:56.914 --> 0:21:59.513
<v Speaker 4>I'm thirty four and i sleep seven to eight hours

0:21:59.514 --> 0:22:02.914
<v Speaker 4>a night, but I'm exhausted all the time. I put

0:22:02.954 --> 0:22:05.434
<v Speaker 4>it down to being a busy working mum, but lately

0:22:05.474 --> 0:22:08.234
<v Speaker 4>I feel like I'm running on no matter how much

0:22:08.274 --> 0:22:11.874
<v Speaker 4>rest I get. At what point does this tiredness stop

0:22:11.954 --> 0:22:15.714
<v Speaker 4>being just life and become something worth getting checked out?

0:22:16.154 --> 0:22:16.513
<v Speaker 2>Thanks?

0:22:16.994 --> 0:22:18.034
<v Speaker 1>You're there, Irene.

0:22:18.514 --> 0:22:21.033
<v Speaker 2>You've written to us as well, and I think you

0:22:21.074 --> 0:22:23.474
<v Speaker 2>are there if you are getting seven to eight hours

0:22:23.474 --> 0:22:26.114
<v Speaker 2>of sleep, and lucky you. I think it's because you're

0:22:26.114 --> 0:22:28.353
<v Speaker 2>thirty four and you haven't quite hit your perry stage yet,

0:22:28.354 --> 0:22:31.114
<v Speaker 2>because once you hit pery, no one sleeps anymore. But

0:22:31.194 --> 0:22:33.074
<v Speaker 2>I have some questions for you that I think you're

0:22:33.074 --> 0:22:33.594
<v Speaker 2>going to need.

0:22:33.514 --> 0:22:34.394
<v Speaker 1>To take to your GP.

0:22:35.194 --> 0:22:37.553
<v Speaker 2>Are you overweight, Irene, Now, this is not a do

0:22:37.634 --> 0:22:39.274
<v Speaker 2>you look good in a sum in costume thing. I'm

0:22:39.274 --> 0:22:41.994
<v Speaker 2>actually thinking about something called sleep out near which is

0:22:42.114 --> 0:22:47.034
<v Speaker 2>underdiagnosed in women, and being overweight puts pressure on your

0:22:47.154 --> 0:22:49.034
<v Speaker 2>upper airways and makes them.

0:22:48.954 --> 0:22:51.674
<v Speaker 1>Collapse, particularly if you sleep.

0:22:51.394 --> 0:22:54.914
<v Speaker 2>On your back. Now, men snore like a train, and

0:22:55.034 --> 0:22:58.114
<v Speaker 2>women pick up there. If they're in a heterosexual relationship,

0:22:58.154 --> 0:23:01.394
<v Speaker 2>they pick up on their husband's snoring like there's no tomorrow.

0:23:01.634 --> 0:23:03.754
<v Speaker 2>Nobody picks up on ol snoring, cath do they No,

0:23:04.154 --> 0:23:06.434
<v Speaker 2>because men sleep through the night like a dream and

0:23:06.474 --> 0:23:08.834
<v Speaker 2>they don't notice we're snoring. And if they do that,

0:23:08.914 --> 0:23:10.874
<v Speaker 2>don't comment on it. I've never had a patient come

0:23:10.874 --> 0:23:13.553
<v Speaker 2>to me ever and say my partner, my male partner,

0:23:13.594 --> 0:23:16.234
<v Speaker 2>says that I snare same sex. Partner's different story.

0:23:16.274 --> 0:23:17.914
<v Speaker 1>But yeah, this is the situation.

0:23:18.034 --> 0:23:19.714
<v Speaker 2>We don't even know whether you snore, but we know

0:23:20.274 --> 0:23:22.914
<v Speaker 2>that you can have sleep disordered breathing, which will leave

0:23:22.954 --> 0:23:25.714
<v Speaker 2>you in the morning waking up exhausted and just not

0:23:25.794 --> 0:23:28.793
<v Speaker 2>being able to shake that exhausted feeling, often waking up

0:23:28.834 --> 0:23:32.194
<v Speaker 2>with a headache. So often without realizing that you clench

0:23:32.234 --> 0:23:34.674
<v Speaker 2>your jaw in order to try and open your airways

0:23:34.954 --> 0:23:37.394
<v Speaker 2>as they're collapsing at night. So that clenching can actually

0:23:37.394 --> 0:23:40.033
<v Speaker 2>make you wake up with a headache, waking up with

0:23:40.074 --> 0:23:43.033
<v Speaker 2>a sore throat if you open your mouth really wide

0:23:43.034 --> 0:23:47.194
<v Speaker 2>to train inhale breath, and it's often a thickness around

0:23:47.194 --> 0:23:49.514
<v Speaker 2>the middle, so you actually start to put on weight,

0:23:49.554 --> 0:23:52.474
<v Speaker 2>but particularly that peri visceral fat that we were talking

0:23:52.474 --> 0:23:55.553
<v Speaker 2>about earlier, so that belly fat. So if that's if

0:23:55.594 --> 0:23:56.994
<v Speaker 2>you've put on a lot of weight, and if you

0:23:57.074 --> 0:24:00.154
<v Speaker 2>think that you could be snoring at night, if you're

0:24:00.194 --> 0:24:02.314
<v Speaker 2>waking up with a headache or a sore throat, mention

0:24:02.434 --> 0:24:03.914
<v Speaker 2>all of this to your doctor because we can get

0:24:03.914 --> 0:24:07.313
<v Speaker 2>a sleep study and get that diagnosed and fixed. Are

0:24:07.354 --> 0:24:11.154
<v Speaker 2>you bleeding heavily every single month? Because iron deficiency can

0:24:11.234 --> 0:24:13.194
<v Speaker 2>also make you bone weary, tired.

0:24:13.594 --> 0:24:15.674
<v Speaker 1>A blood test will help pick that up.

0:24:15.674 --> 0:24:18.474
<v Speaker 2>But can I just say there too many women get

0:24:18.514 --> 0:24:21.074
<v Speaker 2>an iron test get their iron fixed, and no one

0:24:21.074 --> 0:24:23.234
<v Speaker 2>ever says, but why it has all your iron gone?

0:24:23.674 --> 0:24:26.754
<v Speaker 2>Having iron deficiency from heavy bleeding is not normal. We

0:24:26.794 --> 0:24:28.194
<v Speaker 2>need to go and get that fixed as well. So

0:24:28.194 --> 0:24:31.714
<v Speaker 2>are we going to investigate that do you feel really cold?

0:24:31.754 --> 0:24:34.994
<v Speaker 2>Are you more constipated than usual? Is your hair really dries?

0:24:35.034 --> 0:24:38.714
<v Speaker 2>Your skin really dry? Could you have a thyroid problem? Again,

0:24:39.154 --> 0:24:41.474
<v Speaker 2>your doctor will take a history, do an examination, but

0:24:41.514 --> 0:24:44.154
<v Speaker 2>a blood test will be required, and then you know

0:24:44.194 --> 0:24:48.513
<v Speaker 2>it could be just a post viral kind of syndrome

0:24:48.594 --> 0:24:52.554
<v Speaker 2>that is happening around, like after COVID, but even after

0:24:52.634 --> 0:24:55.674
<v Speaker 2>flu you can feel tired for months afterwards. They're the

0:24:55.674 --> 0:24:57.834
<v Speaker 2>top sort of things that I'm thinking about. But you

0:24:57.954 --> 0:25:00.553
<v Speaker 2>need your GP to go on this journey with you.

0:25:00.634 --> 0:25:02.914
<v Speaker 2>But like you need to book in today, Irene or

0:25:02.954 --> 0:25:05.194
<v Speaker 2>your friend does at any rate, if you're a little

0:25:05.194 --> 0:25:07.034
<v Speaker 2>bit oldert Iron, because you're thirty four. But if you

0:25:07.114 --> 0:25:10.273
<v Speaker 2>you're a little bit older, I'd be thinking, is perimenopause

0:25:10.314 --> 0:25:14.234
<v Speaker 2>the driver here? Because literally ninety percent of my patients

0:25:14.234 --> 0:25:16.513
<v Speaker 2>who are in Perry are just so tired.

0:25:17.394 --> 0:25:19.514
<v Speaker 1>Yeah, oh well we're not getting sevente eight hours sleep.

0:25:19.554 --> 0:25:22.394
<v Speaker 1>They are way no, definitely, so that's definitely not us.

0:25:22.674 --> 0:25:26.354
<v Speaker 2>Okay, if that is ringing true for you, Kath, I

0:25:26.394 --> 0:25:30.114
<v Speaker 2>have just got the best news because very Pery is here.

0:25:30.234 --> 0:25:34.354
<v Speaker 2>It's been created by Muma Maya. It's basically featuring twenty

0:25:34.354 --> 0:25:39.434
<v Speaker 2>five of the world's leading health experts, including me, because I.

0:25:41.234 --> 0:25:42.793
<v Speaker 1>Discussing exactly what.

0:25:42.674 --> 0:25:46.354
<v Speaker 2>You can do if perimenopause is basically getting on top

0:25:46.354 --> 0:25:46.553
<v Speaker 2>of you.

0:25:47.194 --> 0:25:50.394
<v Speaker 1>That means no wait less, no more three am doom scrolling,

0:25:51.034 --> 0:25:54.994
<v Speaker 1>just credible information you can watch whenever and wherever you want.

0:25:55.154 --> 0:25:57.834
<v Speaker 1>Head over to very Perry dot com dot au to

0:25:57.874 --> 0:26:01.234
<v Speaker 1>get access today.

0:26:02.194 --> 0:26:05.513
<v Speaker 2>Okay, kat, that's it from us another app I know

0:26:05.794 --> 0:26:08.634
<v Speaker 2>so good. Guys, don't forget to follow the show just

0:26:08.674 --> 0:26:10.874
<v Speaker 2>so you never miss an episode like how good is it?

0:26:10.874 --> 0:26:12.114
<v Speaker 2>You would not want to be missing this.

0:26:12.234 --> 0:26:12.674
<v Speaker 1>No thanks.

0:26:13.074 --> 0:26:15.073
<v Speaker 2>If you follow the show, it'll drop straight into your

0:26:15.074 --> 0:26:15.994
<v Speaker 2>feed automatically.

0:26:16.034 --> 0:26:16.474
<v Speaker 1>How good.

0:26:16.834 --> 0:26:19.554
<v Speaker 2>And also do make sure you're following us on socials

0:26:19.554 --> 0:26:21.553
<v Speaker 2>to stay up to date with every madcap thing that

0:26:21.554 --> 0:26:24.314
<v Speaker 2>we're doing, including all of the crystals in ques Bra.

0:26:25.394 --> 0:26:25.714
<v Speaker 2>Love that.

0:26:26.274 --> 0:26:28.074
<v Speaker 1>And if you want to hear you're asking for a

0:26:28.114 --> 0:26:31.234
<v Speaker 1>friend question, send us an email or voice note to

0:26:31.354 --> 0:26:34.634
<v Speaker 1>well at mammameir dot com dot A. You and we

0:26:35.194 --> 0:26:37.513
<v Speaker 1>and by we I mean doctor Ginny. We'll get to

0:26:37.514 --> 0:26:40.914
<v Speaker 1>the bottom of it. And please remember information discussed in

0:26:40.994 --> 0:26:44.674
<v Speaker 1>this podcast is for education purposes only and is not

0:26:44.834 --> 0:26:48.754
<v Speaker 1>intended to provide professional medical advice. Please seek your own

0:26:48.794 --> 0:26:53.554
<v Speaker 1>medical advice specific to your circumstances from your healthcare professional.

0:26:53.874 --> 0:26:57.914
<v Speaker 1>See you next time and stay well. Mamma Mia acknowledges

0:26:57.914 --> 0:26:59.154
<v Speaker 1>the traditional owners of the land.

0:26:59.154 --> 0:27:01.834
<v Speaker 3>We've recorded this podcast on the Gettigill people of the

0:27:02.074 --> 0:27:03.754
<v Speaker 3>Urination and the wan to Erwer people.

0:27:03.994 --> 0:27:06.154
<v Speaker 1>We pay our respects to their elders past and present

0:27:06.394 --> 0:27:08.874
<v Speaker 1>and extend that was back to all Aboriginal and Torrestrata

0:27:08.954 --> 0:27:09.634
<v Speaker 1>land are cultures